HomeMy WebLinkAboutPermit PG08-022 - MATEVOSOV RESIDENCEMATEVOSOV RESIDENCE
12091 44TH PL S
PGO8-022
Parcel No.:
Address:
Suite No:
CitAf Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.ci.tukwila.wa.us
3347401475
12091 44 PL S TUKW
PLUMBING /GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
PG08 -022
01/18/2008
07/16/2008
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
MATEVOSOV RESIDENCE
12091 44TH PL S , TUKWILA WA
MATEVOSOV ARAM
12091 44TH PL S , TUKWILA WA
GARY KRUPP
Address: 1400 NW GILMAN BL @2834 , ISSAQUAH WA
Contractor:
Name: EASTSIDE PLUMBING SERVICES
Address: 1420 NW GILMAN BL , ISSAQUAH WA
Contractor License No: EASTSPS980NA
Phone:
Phone: 425 644 -3517
Phone: 425 644 -3517
Expiration Date: 08/04/2008
DESCRIPTION OF WORK:
REROUTE 3" WASTE LINE
Value of Plumbing /Gas Piping:
Fees Collected:
$1,700.00
$92.00
Plumbing
Bathtub or combination bath/shower
Bidet
Clothes washer, domestic
Dental unit, cuspidor
Dishwasher, domestic, with independent drain
Drinking fountain or water cooler (per head)
Food -waste grinder, commercial
Floor drain
Shower, single head trap
Lavatory
Wash fountain
Receptor, indirect waste
Sinks
Urinals
Water Closet
Uniform Plumbing Code Edition: 2006
International Fuel Gas Code Edition: 2006
FIXTURE TYPE AND QUANTITY
Plumbing (cont.)
0 Building sewer and each trailer park sewer 0
0 Rain water system - per drain (inside bldg) 0
0 Water heater and/or vent 0
0 Industrial waste treatment interceptor, including
0 its trap and vent, except for kitchen type
0 grease interceptors 0
0 Repair or alteration of water piping and/or water
0 treatment equipment 0
0 Repair or alteration of drainage or vent piping 0
0 Medical gas piping system serving (1 -5)
0 inlets /outlets for a specific gas 1
0 Medical gas piping (6 +) inlets /outlets 0
0 Gas Piping
0 Gas piping outlets (0 -5) 0
0 Gas piping outlets (6 +) 0
* *continued on next page **
doc: UPC -10/06
PG08 -022 Printed: 01 -22 -2008
City 8 Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.ci.tukwila.wa.us
Permit Number: PG08 -022
Issue Date: 01/18/2008
Permit Expires On: 07/16/2008
Permit Center Authorized Signature:
Date:
DI I22���
I hereby certify that I have read and ned this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied t whether specified herein or not.
The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or t e perfo ance of work. I am authorized to sign and obtain this plumbing /gas piping permit.
Signature: Ii Date: /1 • ad • 0?
Print Name: 'A1t?11 K1//
This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended
or abandoned for a period of 180 days from the last inspection.
doc: UPC -10/06
PG08 -022 Printed: 01 -22 -2008
Parcel No.:
Address:
Suite No:
CitPf Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206- 431 -3670
Fax: 206 - 431 -3665
Web site: http://www.ci.tukwila.wa.us
3347400915
12084 44 PL S TUKW
Vi9W26-7
PLUMBING /GAS PIPING PERMIT
Permit Number:
Issue Date:
Permit Expires On:
PG08 -022
01/18/2008
07/16/2008
Tenant:
Name:
Address:
Owner:
Name:
Address:
WILKINSON RESIDENCE
12084 44TH PL S , TI KVVILA WA
WILKINSON DOREEN
12084 44TH PL S , SEATTLE WA
Contact Person:
Name: GARY KRUPP
Address: 1400 NW GILMAN BL @2834 , ISSAQUAH WA
Contractor:
Name: EASTSIDE PLUMBING SERVICES
Address: 1420 NW GILMAN BL , ISSAQUAH WA
Contractor License No: EASTSPS980NA
Phone:
Phone: 425 644 -3517
Phone: 425 644 -3517
Expiration Date: 08/04/2008
DESCRIPTION OF WORK:
REROUTE 3" WASTE LINE
Value of Plumbing /Gas Piping:
Fees Collected:
$1,700.00
$92.00
Uniform Plumbing Code Edition: 2006
International Fuel Gas Code Edition: 2006
FIXTURE TYPE AND QUANTITY
Plumbing
Bathtub or combination bath/shower 0
Bidet 0
Clothes washer, domestic 0
Dental unit, cuspidor 0
Dishwasher, domestic, with independent drain 0
Drinking fountain or water cooler (per head) 0
Food -waste grinder, commercial 0
Floor drain 0
Shower, single head trap 0
Lavatory 0
Wash fountain
Receptor, indirect waste 0
Sinks 0
Urinals 0
Water Closet 0
0
Plumbing (cont.)
Building sewer and each trailer park sewer 0
Rain water system - per drain (inside bldg) 0
Water heater and /or vent 0
Industrial waste treatment interceptor, including
its trap and vent, except for kitchen type
grease interceptors 0
Repair or alteration of water piping and/or water
treatment equipment 0
Repair or alteration of drainage or vent piping 0
Medical gas piping system serving (1 -5)
inlets /outlets for a specific gas 1
Medical gas piping (6 +) inlets /outlets 0
Gas Piping
Gas piping outlets (0 -5) 0
Gas piping outlets (6 +) 0
* *continued on next page **
doc: UPC -10/06
PG08 -022 Printed: 01 -18 -2008
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.ci.tukwila.wa.us
Permit Number: PG08 -022
Issue Date: 01/18/2008
Permit Expires On: 07/16/2008
Permit Center Authorized Signature:
I hereby certify that I have read and : ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complie whether specified herein or not.
The granting of this permit does not pres T e to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the performance of work. I am authorized to sign and obtain this plumbing /gas piping permit.
Signature:
Print Name:
Date: ( `k O g'
This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended
or abandoned for a period of 180 days from the last inspection.
doe: UPC -10/06
PG08 -022 Printed: 01 -18 -2008
Parcel No.: 3347401475
Address:
Suite No:
Tenant:
•
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.ci.tukwila.wa.us
12091 44 PL S TUKW
MATEVOSOV RESIDENCE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
PG08 -022
ISSUED
01/18/2008
01/18/2008
1: ** *PLUMBING AND GAS PIPING * **
2: No changes shall be made to applicable plans and specifications unless prior approval is obtained from the Tukwila
Building Division.
3: All permits, inspection records and applicable plans shall be maintained at the job and available to the plumbing
inspector.
4: All plumbing and gas piping systems shall be installed in compliance with the Uniform Plumbing Code and the Fuel Gas
Code.
5: No portion of any plumbing system or gas piping shall be concealed until inspected and approved.
6: All plumbing and gas piping systems shall be tested and approved as required by the Plumbing Code and Fuel Gas Code.
Tests shall be conducted in the presence of the Plumbing Inspector. It shall be the duty of the holder of the permit to
make sure that the work will stand the test prescribed before giving notification that the work is ready for inspection.
7: No water, soil, or waste pipe shall be installed or permitted outside of a building or in an exterior wall unless,
adequate provision is made to protect such pipe from freezing. All hot and cold water pipes installed outside the
conditioned space shall be insulated to minimum R -3.
8: Plastic and copper piping running through framing members to within one (1) inch of the exposed framing shall be
protected by steel nail plates not less than 18 guage.
9: Piping through concrete or masonry walls shall not be subject to any load from building construction. No plumbing
piping shall be directly embedded in concrete or masonry.
10: All pipes penetrating floor /ceiling assemblies and fire - resistance rated walls or partitions shall be protected in
accordance with the requirements of the building code.
11: Piping in the ground shall be laid on a firm bed for its entire length. Trenches shall be backfilled in thin layers to
twelve inches above the top of the piping with clean earth, which shall not contain stones, boulders, cinderfill,
frozen earth, or construction debris.
12: The issuance of a permit or approval of plans and specifications shall not be construed to be a permit for, or an
approval of, any violation of any of the provisions of the Plumbing Code or Fuel Gas Code or any other ordinance of the
jurisdiction.
* *continued on next page **
doc: Cond -10/06
PG08 -022 Printed: 01 -22 -2008
•
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 -431 -3665
Web site: http: / /www.ci.tukwila.wa.us
I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and ordinances governing
this work will be complied with, whether specified herein or not.
The granting of this permit does not presume to give authority to violate or cancel the provision of any other work or local laws regulating
construction or the performance of work.
Signature:
Print Name:
l
G',�scy X �vkl
Date:/ 6Ffr
doc: Cond -10106
PG08 -022 Printed: 01 -22 -2008
Parcel No.: 3347400915
Address:
Suite No:
Tenant:
•
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.ci.tukwila.wa.us
12084 44 PL S TUKW
WILKINSON RESIDENCE
PERMIT CONDITIONS
c,M
Permit Number:
Status:
Applied Date:
Issue Date:
PG08 -022
ISSUED
01/18/2008
01/18/2008
1: ** *PLUMBING AND GAS PIPING * **
2: No changes shall be made to applicable plans and specifications unless prior approval is obtained from the Tukwila
Building Division.
3: All permits, inspection records and applicable plans shall be maintained at the job and available to the plumbing
inspector.
4: All plumbing and gas piping systems shall be installed in compliance with the Uniform Plumbing Code and the Fuel Gas
Code.
5: No portion of any plumbing system or gas piping shall be concealed until inspected and approved.
6: All plumbing and gas piping systems shall be tested and approved as required by the Plumbing Code and Fuel Gas Code.
Tests shall be conducted in the presence of the Plumbing Inspector. It shall be the duty of the holder of the permit to
make sure that the work will stand the test prescribed before giving notification that the work is ready for inspection.
7: No water, soil, or waste pipe shall be installed or permitted outside of a building or in an exterior wall unless,
adequate provision is made to protect such pipe from freezing. All hot and cold water pipes installed outside the
conditioned space shall be insulated to minimum R -3.
8: Plastic and copper piping running through framing members to within one (1) inch of the exposed framing shall be
protected by steel nail plates not less than 18 guage.
9: Piping through concrete or masonry walls shall not be subject to any load from building construction. No plumbing
piping shall be directly embedded in concrete or masonry.
10: All pipes penetrating floor /ceiling assemblies and fire - resistance rated walls or partitions shall be protected in
accordance with the requirements of the building code.
11: Piping in the ground shall be laid on a firm bed for its entire length. Trenches shall be backfilled in thin layers to
twelve inches above the top of the piping with clean earth, which shall not contain stones, boulders, cinderfill,
frozen earth, or construction debris.
12: The issuance of a permit or approval of plans and specifications shall not be construed to be a permit for, or an
approval of, any violation of any of the provisions of the Plumbing Code or Fuel Gas Code or any other ordinance of the
jurisdiction.
* *continued on next page **
doc: Cond -10/06
PG08 -022 Printed: 01 -18 -2008
•
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.ci.tukwila.wa.us
I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and ordinances governing
this work will be complied with, whether specified herein or not.
The granting of this permit does not presume to give authority to violate or cancel the provision of any other work or local laws regulating
construction or the performance of work.
Print Name: Cetrizt k;24-)P,6
Date: / (O -19
doc: Cond -10/06
PG08 -022 Printed: 01 -18 -2008
CITY OF TUKWIL4
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.Wa.tis
Plumbing/Gas Permit No. 12k) �L2'
Project No.
(For office use only)
PLUMBING / GAS PIPING PERMIT APPLICATION
Applications and plans must be complete in order to be accepted for plan review.
Applications Will not be accepted through the mail or by fax.
* *Please Print **
SITE LOCATION
Site Address: j2 0 9 ( //L
Tenant Name:
King Co Assessor's Tax No.: 0 ~ O l 6�
S
Suite Number:
New Tenant:
Property Owners Name:
Mailing Address:
Floor:
E .... Yes E ..No
City
State
Zip
CONTACT PERSON . Who:doEwe contact when.your permit is readyto:be issued
Name: GA X/G'/'i
Mailing Address: Lido it) a) 6i/ >J r>/ob
E -Mail Address:
aF'34
Day Telephone:v. ‘ Yy r" 7
�S S Af VA-11- / k.)A- 9A, 2- 7
City State Zip
Fax Number:
PLUMBING I GAS PIPING CONTRACTOR INFORMATI
Company Name: ar5 /00 /211/.,6it) �it. J /ceJ
Mailing Address: %i6v _,,//�� Gi /i�LriJ ' /d/" 46634.1
Contact Person er / ) ///
E -Mail Address: PL U// M PO e. .1 44-44472- - CDob/
Contractor Registration Number: Ets947 A59 *D.dA-
S�r .fir¢ Fk2 7
City State Zip
Day Telephone: /yi.( d , 3'-/ 7
Fax Number: 0 M4" • .27/ 70/
Expiration Date: f . a ' O e
ARCH #I -
All • plans be;wet°sta4`t ipedR'
hArchitect,ofa cart
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
City
Day Telephone:
Fax Number:
State
Zip
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Q:\Applications\Forms- Applications On Line3-2006 - Plumbing -Gas Piping Permit Application.doc
Revised: 4 -2006
bh
city
Day Telephone:
Fax Number:
State
Zip
Page 1 of 2
Valuation of Project (contractor's bid price): $
7 1 7 - 0
Scope of Work (please provide detailed information):
A 3
Wig
Building Use (per Int'l Building Code):
Occupancy (per Int'l Building Code):
Utility Purveyor: Water: Sewer:
Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below:
Fixture'Type
: Qty.::
..Fixture.Type::
Qty
Fixture Type, .:..
"Qty _
'-')C+txtulre Type:
Qty
Bathtub or combination
bath/shower
Drinking fountain or water
cooler (per head)
Wash fountain
Gas piping outlets
Bidet
Food -waste grinder,
commercial
Receptor, indirect
waste
Clothes washer, domestic
Floor drain
Sinks
Dental unit, cuspidor
Shower, single head trap
Urinals
Dishwasher, domestic,
with independent drain
Lavatory
Water Closet
Building sewer or trailer
park sewer
Rain water system — per
drain (inside building)
Water heater and/or
vent
Additional medical gas
inlets/outlets — six or more
Industrial waste
pretreatment interceptor,
including its trap and vent,
except for kitchen type
grease interceptors
Repair or alteration of water
piping and /or water treating
equipment
Repair or alteration
of drainage or vent
piping
Medical gas piping system
serving one to five
inlets/outlets for specific gas
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review— Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
The Building Official may grant one extension of time for an additional period not to exceed 180 days. The extension shall be requested in writing
and justifiable cause demonstrated. Section 103.4.3 International Plumbing Code (current edition).
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER A HIOTIZED AGENT:
Signature:
Print Name: C
Mailing Address:
'/4
Date: /
/ r
Day Telephone: le
"sStr' 104 7
City State Zip
Date Application Accepted: u l
1, l 41 f 011
Date Application Expires:
Staff Initials: ,
Q:\Applications\Forms- Applications On Line'3 -2006 - Plumbing -Gas Piping Penni Application doc
Revised: 4.2006
bh
Page 2 of 2
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: http: / /www.ci.tukwila.wa.us
Parcel No.: 3347400915
Address: 12084 44 PL S TUKW
Suite No:
Applicant: WILKINSON RESIDENCE
RECEIPT
Permit Number: PG08 -022
Status: APPROVED
Applied Date: 01/18/2008
Issue Date:
Receipt No.: R08 -00183
Payment Amount: $92.00
Initials: JEM Payment Date: 01/18/2008 12:32 PM
User ID: 1165 Balance: $0.00
Payee: AANW, INC.
TRANSACTION LIST:
Type Method Description Amount
Payment Check 13222 92.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
PLUMBING - RES
000.322.103.00.0 92.00
Total: $92.00
7418 01/18 0710 TOTAL 92.00
doc: Receiot -06 Printed: 01 -18 -2008
INSPECTION RECORD
Retain a copy with permit
/96,0e5 - a?Z
PERMIT NO.
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION (-18-
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431-3 7
Project:
Ali % /Z.A /.Sew P.s
Type of Inspection:
i /'L" l - Plizii
Address:
Date Called:
Special Instructions:
/ Zo' /
i
L� L/ /2L S
Date Wanted: a
Z Z ` viJ p.m.
Requester:
Ph we No:
U4r -2c90 -S 5S 3
Approve /_p9r applIcable codes.
Corrections required prior to approval.
COMMENTS:. -
�'Fwe" ( ,U V1
(I) 7/1V4/90144/
/?Ae.� �.,A/
— 17), ,,E
12//
/ / /1 C7k61,1, ks
/i ivy`
.[ Spector:
■1,.dic...
Date:
/_ z z -J
$ :.00 REINSPECTION Fri REQUIRE'. Prior o inspection, fee must be
d at 6300 Southcenter,Blvd.. Suite 100. Call the schedule reinspection.
Receipt No.:
Date:
I
City of Tukwila
Steven M. Mullet, Mayor
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 -431 -3665
Web site: http: / /www.ci.tukwila.wa.us
Steve Lancaster, Director
Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through
the mail, fax, etc.
Date: /• a /•o6
Plan ChecWPermit Number:
❑ Response to Incomplete Letter #
❑ Response to Correction Letter #
❑ Revision # after Permit is Issued
❑ Revision requested by a City Building Inspector or Plans Examiner
JAN 2 2 2008
L. IAN, 4�hTER
Project Name:
Project Address: / gj % rs4 L
Contact Person: y /Ci4J/// Phone Number: '%J 3S/ 7
Summary of Revision: 00 2 it-L CA'C -1)
(
Sheet Number(s):
"Cloud" or highlight all areas of revision including date of revision
Received at the City of Tukwila Permit Center by:
it Entered in Permits Plus on 101(7-21111
le pplications\forms- applications on linelrevision submittal
Created: 8 -13 -2004
r1a.aeptl•
Look Up a Contractor, Electtin or Plumber License Detail
Washington State Department of Labor and Industries
General/Specialty Contractor
A business registered as a construction contractor with L &I to perform
construction work within the scope of its specialty. A General or Specialty
construction Contractor must maintain a surety bond or assignment of
account and carry general liability insurance.
License Information
License
EASTSPS980NA
Licensee Name
EASTSIDE PLUMBING SERVICES
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
600396279
Ind. Ins. Account Id
Business Type
INDIVIDUAL
Address 1
1420 NW GILMAN BLVD
Address 2
City
ISSAQUAH
County
KING
State
WA
Zip
98027
Phone
4256443517
Status
ACTIVE
Specialty 1
PLUMBING
Specialty 2
UNUSED
Effective Date
8/1/2002
Expiration Date
8/4/2008
Suspend Date
Separation Date
Parent Company
Previous License
EASTSPS150P5
Next License
RENOVSL966J1
Associated License
Business Owner Information
Name
Role
Effective Date
Expiration Date
KRUPP, GARY J
OWNER
08/01/2002
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
#2
FEDERATED
MUTUAL
INS CO
9319697
09/27/2003
Until
Cancelled
$6,000.00
09/29/2003
GREAT 790-
Page 1 of 2
https: // fortress .wa.gov /1ni/bbip /printer.aspx ?License= EASTSPS980NA 01/18/2008